| Psychiatric Consulting Services | |
|
1315 Santa Fe St Ste 201 Corpus Christi TX 78404-2290 | |
| (361) 887-9600 | |
| (361) 883-1661 |
| Full Name | Psychiatric Consulting Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1315 Santa Fe St Ste 201, Corpus Christi, Texas |
| Authorized Official Name and Position | Angel Renate Mcafee (ADMINISTRATOR) |
| Authorized Official Contact | 3618879600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Consulting Services 1315 Santa Fe St Ste 201 Corpus Christi TX 78404-2290 Ph: (361) 887-9600 | Psychiatric Consulting Services 1315 Santa Fe St Ste 201 Corpus Christi TX 78404-2290 Ph: (361) 887-9600 |
| NPI Number | 1134164627 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Medicare PECOS PAC ID | 8729079751 |
|---|---|
| Medicare Enrollment ID | O20040519001119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134164627 | NPI | - | NPPES |
| 0846784-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rodolfo Bayardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265438097 PECOS PAC ID: 3375514854 Enrollment ID: I20040805001609 |
| Provider Name | Peggy Jo Koepsel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104885086 PECOS PAC ID: 1557366234 Enrollment ID: I20061002000620 |
| Provider Name | Nestor H Praderio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144265562 PECOS PAC ID: 3870576499 Enrollment ID: I20100805000697 |
| Provider Name | Rodney Prater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477838944 PECOS PAC ID: 2062673585 Enrollment ID: I20120410000644 |
| Provider Name | Eva Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326035890 PECOS PAC ID: 5890911721 Enrollment ID: I20140729001641 |
| Provider Name | Lone P Engledowl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205235082 PECOS PAC ID: 9537484688 Enrollment ID: I20150211001844 |
| Provider Name | Livina C Akpunku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700254646 PECOS PAC ID: 3577838895 Enrollment ID: I20171011003892 |
| Provider Name | Ryan Craig Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659739399 PECOS PAC ID: 8325301476 Enrollment ID: I20180424002022 |
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